ATI RN
test bank foundations of nursing Questions
Question 1 of 5
A patient has been diagnosed with polycystic ovary syndrome (PCOS). The nurse should encourage what health promotion activity to address the patients hormone imbalance and infertility?
Correct Answer: C
Rationale: The correct answer is C: Weight loss. In PCOS, weight loss can help improve hormone balance and fertility by reducing insulin resistance and regulating hormone levels. Excess weight can exacerbate symptoms of PCOS. Kegel exercises (A) are beneficial for pelvic floor strength but do not directly address hormone imbalance. Increased fluid intake (B) is important for overall health but does not specifically target hormone imbalance. Topical antibiotics (D) are unrelated to PCOS treatment.
Question 2 of 5
Which assessment in a patient diagnosed with preeclampsia who is taking magnesium sulfate would indicate a therapeutic level of medication?
Correct Answer: C
Rationale: The correct answer is C: Normal deep tendon reflexes. This indicates a therapeutic level of magnesium sulfate as it shows that the medication is effectively preventing hyperreflexia, a common sign of magnesium toxicity. Drowsiness (choice A) can indicate toxicity. Urinary output of 20 mL/hour (choice B) is not specific to magnesium sulfate levels. Respiratory rate of 10 to 12 breaths per minute (choice D) is indicative of respiratory depression, a sign of magnesium toxicity. Thus, choice C is the best assessment to indicate a therapeutic level of medication in a patient with preeclampsia taking magnesium sulfate.
Question 3 of 5
A nurse is reviewing urinary laboratory results.Which finding will cause the nurse to follow up?
Correct Answer: A
Rationale: The correct answer is A because a protein level of 2 mg/100 mL in urine indicates proteinuria, which can be a sign of kidney dysfunction or other underlying health issues. The nurse should follow up to assess further for possible kidney disease or other conditions. Choice B is not a cause for concern as a urine output of 80 mL/hr is within the normal range. Choice C indicates concentrated urine, which may be due to dehydration but does not necessarily require immediate follow-up. Choice D is within the normal range for urine pH and does not typically warrant immediate follow-up.
Question 4 of 5
A nurse wants to find all the pertinent patientinformation in one record, regardless of the number of times the patient entered the health care system. Which record should the nurse find?
Correct Answer: B
Rationale: The correct answer is B: Electronic health record. An Electronic Health Record (EHR) contains comprehensive health information about an individual that is collected across different health care providers and organizations. This includes medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results. The EHR is designed to be accessible by authorized healthcare providers and ensures that all pertinent patient information is available in one centralized record, regardless of the number of times the patient entered the health care system. A: Electronic medical record (EMR) typically contains information from a single provider or organization. C: Electronic charting record is more focused on documenting care provided during a specific encounter. D: Electronic problem record is limited to tracking specific health issues or conditions.
Question 5 of 5
The nurse is caring for a patient of Hispanicdescent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Look at the patient when talking. This is important because maintaining eye contact shows respect, builds trust, and enhances communication with the patient. By looking at the patient, the nurse can also observe nonverbal cues and ensure the patient is engaged in the conversation. Choice A: Using long sentences can be overwhelming for a patient who may not understand the language, leading to miscommunication. Choice C: Using breaks in sentences may help the interpreter better convey the message, but looking at the patient is more essential for effective communication. Choice D: Looking at only nonverbal behaviors neglects the importance of eye contact and direct communication with the patient.
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